Clinical Pharm Lab

Topics: Asthma, Salbutamol, Inflammation Pages: 6 (318 words) Published: December 3, 2014
Non- Pharmacologic Treatment
•To optimize the management of an asthmatic patient,
it is extremely important to identify and avoid factors
that may worsen the disease.
•Reducing exposure to animal dander, dust mites,
cockroaches, and other environmental triggers can
improve asthma control.
•Patients sensitive to dust mites should encase their
mattress and pillow in an allergen-impermeable cover
and wash the bed linens weekly in hot water.
•Cockroaches can be controlled by removing exposed
food and garbage and using poison baits and traps in
lieu of other chemical agents.

• Indoor air pollution, especially tobacco smoke,
also contributes to airway inflammation and
bronchial hyperresponsiveness.
• Reducing exposure to these allergens and irritants
can decrease airway inflammation and
thereby reduce symptoms and medication
requirements.
Failure to control these exposures will make the
asthma more difficult to manage.

Demographic and Administrative Information
Name: Lopez, Rio

Ward/Bed No. :4-10

Age/Sex:43/F

Case No. 783085

Date of Admission:
4/20/11

Weight: 65kg

Resident In Charge: R.M
MD

Date of Discharge: 4/22/11 Height: 5 f

HISTORY OF PRESENT ILLNESS

LIFE STYLE:

Non- Diabetic
Asthmatic; No other morbidities

(+) Smoking (18 packs year
smoking)
(+) occasional alcoholic beverage
drinker
Works as a call center agent

1week PTA:
Symptoms:
Daily Cough that worsens at night
Chest Tightness
Weezing and Difficulty in Breathing

Patient was using salbutamol inhaler as needed and prednisone 2mg tablet. Patient is also complaining of painful urination, sore throat and foul vaginal discharge.

PAST MEDICAL HISTORY

FAMILY MEDICAL HISTORY

(-) HTN
(+) ASTHMA
(-) DM
(+)Allergies with nuts
amd acetamenophen
(-) kidney disease
(+) CS-twice

(+) DM-mother
(+) PTB-father
(+)- bronchial asthmasiblings

ROS

PRESENT WORKING IMPRESSION

(+) HIGH PITCHES
WHEEZES
FEV1 of less than 40%
PEF variability of > 30%
(+) Cervical gram stain

SOB
Bronchial Asthma
Bacterial infection

Laboratory Test Results

Diagnostic Tests

WBC(s): 5.2 x 10 9
Eos=
Curshmann’s spirals (+)
Plts (WB): 201 X 10 9 /L

CHEST X-ray: Blunting of the R & L
costophrenic angles

CURRENT MEDICATION
OC (ethinyl estradiol + levonorgestrel) OD
Salbutamol inhaler as needed
Prednisone 2mg tablet as needed

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